TRI STATE EYE OPHTHALMOLOGY OF MIDDLETOWN PC
NPI 1053430256
Specialist in Middletown, NY

Active since March 28, 2007
75 CRYSTAL RUN RD, SUITE 120, MIDDLETOWN, NY 10941(845) 703-2020(845) 703-2901 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tri State Eye Ophthalmology Of Middletown Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI STATE EYE OPHTHALMOLOGY OF MIDDLETOWN PC (NPI 1053430256) is a healthcare organization registered as a specialist in Middletown, New York and active in the NPI registry since March 2007. The organization lists Severin Bohdan Palydowycz, Owner, as its authorized official.

NPPES Registry Identity

NPI1053430256
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTRI STATE EYE OPHTHALMOLOGY OF MIDDLETOWN PC
Location Address75 CRYSTAL RUN RD, SUITE 120Middletown, NY 10941-7000
Mailing Address75 Crystal Run Rd, Suite 120Middletown, NY 10941-7000 · (845) 703-2020 · Fax (845) 703-2901
Fax(845) 703-2901
Organization SubpartNo
Authorized OfficialSeverin Bohdan PalydowyczOwner · (570) 296-9696
Enumeration DateMarch 28, 2007
Last NPPES UpdateJanuary 30, 2015
NPI 1053430256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · MD049303L
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

75 CRYSTAL RUN RD, Middletown, NY 10941

Other Names 1

Doing Business AsTri State Eye Ophthalmology Of Middletown Pc

Other Identifiers 3

Medicare UPINU81549
Medicare UPINF52262
Medicare UPINI04325

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
75 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orthopaedic Surgery (Sports Medicine)
75 CRYSTAL RUN RD, SUITE 206
MIDDLETOWN, NY 10941
Otolaryngology
75 CRYSTAL RUN RD, BUILDING B, SUITE 220
MIDDLETOWN, NY 10941
Clinic/Center (Urgent Care)
75 CRYSTAL RUN RD, SUITE G40
MIDDLETOWN, NY 10941
Otolaryngology
75 CRYSTAL RUN RD, BUILDING B, SUITE 220
MIDDLETOWN, NY 10941
Specialist
75 CRYSTAL RUN RD, SUITE 135
MIDDLETOWN, NY 10941
Otolaryngology
75 CRYSTAL RUN RD, BUILDING B, SUITE 220
MIDDLETOWN, NY 10941
Occupational Therapy Assistant
75 CRYSTAL RUN RD
MIDDLETOWN, NY 10941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri State Eye Ophthalmology Of Middletown PC's NPI number?

The NPI number for Tri State Eye Ophthalmology Of Middletown PC is 1053430256. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Tri State Eye Ophthalmology Of Middletown PC located?

Tri State Eye Ophthalmology Of Middletown PC is located at 75 Crystal Run Rd Suite 120, Middletown, NY 10941. The listed phone number is (845) 703-2020.

What is Tri State Eye Ophthalmology Of Middletown PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tri State Eye Ophthalmology Of Middletown PC was last updated on January 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.